Doctor profile · Federal record
Dr. MICHELLE IM, DO
Family Medicine Physician (CMS: FAMILY PRACTICE) · SHAVERTOWN, PA
- NPI 1134640717
- Accepts Medicare
- MIPS 90.3 / 100 · 2023
- 9 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
176 N MAIN ST
SHAVERTOWN, PA 187081121
(570) 675-0900 - Mailing address
-
610 WYOMING AVE
KINGSTON, PA 187043702
Credentials & registration
- NPI registered
- July 2017 — 9 yrs on file
- Profile last updated
- November 15, 2021
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Pennsylvania #OT018121
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1134640717. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,410
Distinct HCPCS
10
Medicare allowed
$107,778
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 434 | 186 | $114 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 173 | 120 | $80 | |
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 161 | 21 | $0 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 133 | 133 | $111 | |
99454 |
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 100 | 15 | $43 | |
99457 |
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 55 | 15 | $43 | |
96372 |
Injection of drug or substance under skin or into muscle | 43 | 17 | $13 | |
99306 |
Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 43 | 41 | $159 | |
J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 35 | 12 | $2 | |
G0008 |
Administration of influenza virus vaccine | 32 | 32 | $29 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 105. This provider delivers 13× the peer median.Open Payments
Industry payments received
All-time total
$3,025
Transactions
146
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 22 | $550.73 | |
| Novo Nordisk Inc | 22 | $505.32 | |
| Lilly USA, LLC | 17 | $353.78 | |
| Amgen Inc. | 20 | $309.06 | |
| GlaxoSmithKline, LLC. | 10 | $278.05 | |
| AstraZeneca Pharmaceuticals LP | 10 | $243.02 | |
| PFIZER INC. | 17 | $187.14 | |
| Phathom Pharmaceuticals, Inc. | 5 | $110.37 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 5 | $105.14 | |
| Exact Sciences Corporation | 4 | $91.56 | |
| SHIELD THERAPEUTICS INC | 4 | $73.90 | |
| Bayer Healthcare Pharmaceuticals Inc. | 4 | $68.78 | |
| Novartis Pharmaceuticals Corporation | 2 | $35.91 | |
| Sumitomo Pharma America, Inc. | 2 | $35.46 | |
| E.R. Squibb & Sons, L.L.C. | 2 | $28.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,912
Patients
832
Total drug cost
$124,698
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 493 | 118 | $5,026 |
| Levothyroxine Sodium | Generic | 450 | 74 | $4,871 |
| Pantoprazole Sodium | Generic | 422 | 86 | $5,234 |
| Famotidine | Generic | 330 | 71 | $4,542 |
| Alprazolam | Generic | 314 | 56 | $2,838 |
| Furosemide | Generic | 314 | 51 | $1,516 |
| Fluticasone Propionate | Generic | 231 | 92 | $3,289 |
| Potassium Chloride | Generic | 203 | 39 | $3,097 |
| Omeprazole | Generic | 192 | 48 | $3,249 |
| Metformin Hcl | Generic | 173 | 37 | $1,322 |